NPIMap

Organization Active NPI

Ambulatory Anesthesiaspecialists of Nevada LLC

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1477897296
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AMBULATORY ANESTHESIASPECIALISTS OF NEVADA LLC
Practice address
9280 W Sunset
#210
Las Vegas, NV 89148-4861
Phone
(800) 204-0099
Fax
(336) 882-2216
NPI assigned
Nov 16, 2012
Last updated
Nov 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan S Gallen, MD
Title
MD/Owner
Phone
(800) 204-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

9280 W Sunset
#210
Las Vegas, NV 89148-4861

Mailing address

2957 El Camino Road
Las Vegas, NV 89146-5224
Phone (800) 204-0099

National Provider Directory

National Provider Directory
Tax ID family
Ambulatory Anesthesia Specialist of NV LC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1477897296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 EL CAMINO ROAD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465224",
            "telephone_number": "800-204-0099",
            "fax_number": "336-882-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET",
            "address_2": "#210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484861",
            "telephone_number": "800-204-0099",
            "fax_number": "336-882-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY ANESTHESIASPECIALISTS OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "GALLEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "800-204-0099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.